AHA Logo THE SECOND NATIONAL CONFERENCE ON THE SYNDROME OF HYPERLEXIA:
Language, Social, Sensory and Educational Interventions

October 14-15, 1996
Oak Brook Illinois
(a western suburb of Chicago)

Sponsored by the American Hyperlexia Association and The Center for Speech and Language Disorders


FACILITATING LANGUAGE DEVELOPMENT
IN CHILDREN WITH HYPERLEXIA

Ann M. Osterling, MA, CCC-SLP/L
Ann Osterling Therapy Associates
1807 Woodfield Drive
Savoy, IL 61874
email: annoslp@net66.com

A. General Strategies

  • take advantage of strengths (visual learner)
  • learn and use their interests
  • provide scaffold to facilitate success
  • use visual cues
  • reduce demands on auditory system
  • develop routines, schedules, predictable patterns
  • facilitate language comprehension
  • expand expressive language skills
  • model and teach social interaction/language skills
  • be sensitive to their weaknesses
  • avoid overloading
  • be flexible

B. The Early Picture

  1. Patterns of Development
    • delay in language development
    • not responsive to speech from others
    • poor comprehension - including their own speech
    • memorizes songs, videos, commercials, familiar phrases
    • echolalic
    • loner
    • limited repertoire of interests
    • videos
    • trouble with change, transitions; seek order in their world
    • interest in logos, letters, numbers
    • short attention span for new/difficult activities; sustained attention for preferred
  2. Intervention Strategies
    • start where child is at (developmentally, interests), expand from there
    • written labels
    • break it down to the word level, then expand it
    • same label for similar, but different, objects
    • be concrete when speaking
    • avoid over-talking
    • give time to process-PAUSES
    • use same phrases/sentences until they are comprehended; then make changes
    • start using visual organizers (e.g. lists, calendars,reminders, rules)
    • state rules in positive terms
    • develop routines, schedules, predictable patterns
    • turn taking (non-verbal, rote verbal, verbal)
    • hands on learning experiences; add verbal as the experience becomes familiar
    • teach categorization skills
    • videotapes
    • photos of classmates with names written

C. As Language Develops

  1. Patterns of Development
    • continue to have problems processing auditory information that is
      • novel
      • continuous
      • questioning
      • presented rapidly
      • in presence of other auditory information
      • low interest
      • abstract
    • using rote phrases in combination with words and other rote phrases
    • pronoun reversals
    • become engrossed with reading anything there is to read
    • strong willed,
    • "bossy"; if verbal may want to dominate "conversation"
    • trouble with changes in routine and environment; transitions difficult
    • more interested in peers but trouble interacting with them
  2. Intervention Strategies
    • use written cues!
      • yes/no
      • lists, calendars, schedules, rules
      • conversation starters
      • story webs, math cards
      • social stories
    • reduce demands on the auditory system
      • multi-sensory learning
      • short, simple, concrete verbal information
      • pair written information with auditory
    • give listening breaks
      • preferential seating in the classroom
      • give choices when asking questions
      • be sensitive to auditory stimulation and overload
    • facilitate language comprehension
      • descriptions
      • language associations and organization
      • teach yes/no questions
      • teach "wh" questions (concrete to abstract)
      • break "wh" questions into "what" questions (who = what person, where = what place, when = what time, etc)
      • relational language concepts (pronouns, comparatives, spatial)
      • concept of negation
      • multiple meanings
    • expand expressive language skills
      • provide verbal and written models which are syntactically correct (gentle correction of written errors in grammar and spelling)
      • teach to describe-concrete objects to more abstract emotions, responses to situations, etc
      • prompt to ask questions (selection of "wh" word, word order)
      • model and teach talking through the steps of a process, solutions to problems; this is a way to introduce self talk and internal dialogue
      • work on sequencing of information, prediction, alternative actions, if-then
      • conversation card
      • intonation and inflection
    • assist social interaction development
      • videotapes
      • trends of peers
      • direct training (modeling, role playing) of student (and peers?)
      • board games
      • taking perspective of others
      • task analysis of different kinds of conversations-write down routine and rules for each; practice these
D. Fine Tuning
  1. Common Persistent Patterns
    • more complex auditory information
    • using slang, peer language
    • jokes, riddles, idioms
    • restricted interests
    • social isolation
    • intonation/inflection
  2. Intervention Strategies
    • multiple meanings of words
    • jokes, riddles, puns
    • problem solving strategies
    • intonation and inflection
    • plays, role playing,
    • find outlets for their interests